HomeMy WebLinkAbout22 Hollis RoadPERMIT /
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
644-2511 Ext. 230
ate ng n9pector Application must be printed or typed
1 . LOCATION OF JOB
FEE SCHEDULE No . Street
0 - $19000 - 10.00 Floor Apt . No.
Ov r $1 000 - 10.00
per $1 ,000 or 2 . OWNER
fraction thereof
3. ADDRESS
4. APPLICANT
5. ADDRESS ^/ L5 1
6, ESTIMATED COST $ OC,
7 . IS THIS A CONTRACT COST--e
Yes No
8 . FEE ENCLOSED
9. TYPE OF BUILDING:
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB :
Original Installation
Alteration/Addition/Repair
On 1A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11. LOCATION OF JOBS
NO. STREET APT. NO ,
12 . TYPE OF INSTALLATION /., y' 'i
13 . SIZE OF MAIN FEEDER
14 . NO. OF LIGHT LOOPS 15. NO. OF HEAT LOOPS
16. NO. OF POWER LOOPS 17 . NO. OF LIGHT OUTLETS
r
18 . NO. OF HEAT CIRCUITS 19. NO. OF POWER OUTLETS
20. NO. OF CONVENIENCE OUTLETS 21. NO. OF HEAT CIRCUITS
22 . NO. OF POWER CIRCUITS 23. NO. OF LIGHT CIRCUITS
24. SIZE OF HEAT CIRCUITS 25 . NO. OF MOTORS
26 . NO. OF PANELS 27 . TOTAL WATTAGE
28 . NO. OF POWER FEEDERS 29. NO. OF SWITCHES
30. A/C LOAD 31. SIZE OF POWER FEEDERS
32. NO . OF FIXTURES 33. TOTAL HORSEPOWER
34. NAME OF SUBCONTRACTORS AND THEIR TRADES
35 . REMARKS AND FURTHER DETAILS :
LICENSE NO.SIGNATU OF APPLICANT DATE
PHONE NUMBER: r -
INSPECTOR r f DATE S TIME
LOCATION 2z yo I'S
INSPECTION: CODE: RESULT(D/A) :
r
BUILDING:
5
ELECTRICAL f
J 3 Z4L4
u PLUMBING:
HVAC:
W:. OTHER:
t
J
v,
4661 l9
PLUMBING APPLICATION
on the___..._..- side of
Hollis Road S,
Street Na ._... 22
Owner . B.- Nowicki
Plumber _ Steve Wi sneski
Filed in Office of
The
Dec. 19 19
II i O!'Olr.
No person shall aoastmct, add to err alder my
portion of the drainage sysoem of my bwl&g
except to repair leaks) naeil a Pkrmits graaoed
by the Building Inq)am r.
r
1
f Application No...................."......4.....9.............. Permit N . ..46.6.1...................
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR. CONN.
hereby make application to perform plumbing according to detailed 4escripdon below. All
provisions of the Rules for Sanitation, By-Laws, Sections 33 to 47 inclusive, sha;Deplied with whether
specified herein or not.
South Windsor, ............... °.C-.........../...................... 192./... Sign ami.... .............................. .....
Address ............................. s
Location .......... ................................................................................................... side of ...............................................r. ........................................... Street
Nature of Building ..... :°.S;/. 1. c.......................................... How many stories ............... ......2-................... ..................................
vo.......Address z w/ /C....................................... ....... I.........................G 5.............`....'.............. . ...................OwnerOwner .................... ..............
Architect ..................... Address ......................................................................................................................
Builder . ........................................ ......................... ............................................... Address ................................................................ ...................................................
Plumber ...............5.........,............... . x .'. .1.......................... Address ..... .......).. ? ......... G. ........J.L..... -. ...Vs-o
DRAINAGE
CESSPOOLS, How many ....................................... ................... Where located ....................................................................................................
Are they water tight . .... ........................................................................ Of what materials are they built ......................................................
iSizeopipefromhousetocesspool .............. Kind of epipe ................ ...................................................................................
1MAINDRAININCELLAR, Material Diameter .................................................................................................................
Above or below cellar bottom .. ....S w
SOILPIPES, Material .. . .... ............................................................ Diameter ................................................................................................................
WASTE PIPES, Material ... Diameter .. ....-.....................c o <w o c
TRAPSy Type proposed to use is ........................ ........... . .. ... . .................. ......`.: ............L?15:......... . ..T'..es:. ...............`
RAIN WATER LEADERS, where do they run to V..........S?n/......... .n .......
REFRIGERATOR WASTES, where do they run to .. .... ............................................................................................ ........ ...............................
TANKOVERFLOWS, where do they run to . .. . .........................................................................._......................................................
FIXTURES
WATER CLOSETS, How many . ....... ..................................... Where located . . .. ........... ......................................................................
Distance from trap to vertical soil pipe ........................................ Pattern
WASHTRAYS, How many .... ..................................................... Where located . ... .................................. . .............................................
SINKS, How many ....................................................................................... Where located . .. ........ ...... ...................................................................
BUTLER'S SINKS, How many ....................................................... Where located. ...................................................................................................
REFRIGERATOR SINKS, How many...................................... Where located .. ...............................................................................................
LAVATORIES, How many ................................................................. Where located .....................................................................................................
BATHTUBS,How many........................................................................ Where located .....................................................................................................
URINALS, How many .............................................................................. Where located ...................................................................................................
Are water closets and urinals to be local vented If not,is there a window in outer wall
of room where same are to be located .
Estimated Cost... /.... .. ...G. ..............